| Date of birth: | 1959 |
| Unit description: | 4330 Golf Terrace; Suite 109; Eau Claire, WI 54701; (715)836-4764 |
| Unit: | 5 05 |
| Pin number: | 873525 |
| Photo date: | Apr 20, 2011 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00572778 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC |
| County: | OUT-OF-STATE |